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Innovative Rx Inc
Compounding Pharmacy in Costa Mesa, California
NPI 1063524056

Innovative Rx Inc is a Compounding Pharmacy based in Costa Mesa, CA and is specialized in Compounding Pharmacy. Innovative Rx Inc practices in Costa Mesa, CA. The NPI Number for Innovative Rx Inc is 1063524056 and holds a License No. PHY48847 (California).

The current practice location address for Innovative Rx Inc is 275 Victoria St, Costa Mesa, CA and can be reached out via phone at 949-642-0106 and via fax at 949-642-5039. You can also correspond with Innovative Rx Inc through the mailing address at 275 VICTORIA ST, COSTA MESA, CA - 92627-1906 (mailing address contact number: 949-642-0106).

Location: 275 Victoria St, Costa Mesa, CA, 92627-1906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063524056
Provider Name
Innovative Rx Inc
Credential
Provider Entity Type
Organization
Address
275 Victoria St, Costa Mesa, CA, 92627-1906
Phone Number
949-642-0106
Fax Number
949-642-5039
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0525468 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
275 Victoria St
City
Costa Mesa
State
California
Zip
92627-1906
Phone Number
949-642-0106
Fax Number
949-642-5039
person
Provider Business Mailing Address Details
Address
275 Victoria St
City
Costa Mesa
State
California
Zip
92627-1906
Phone Number
949-642-0106
Fax Number
949-642-5039
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PHY48847 (California)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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